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A Rare Finding of Coexisting Fibroadenoma and Duct Ectasia in Axillary Ectopic Breast Tissue 腋窝异位乳腺组织纤维腺瘤合并导管扩张的罕见发现
Pub Date : 2015-01-01 DOI: 10.5455/jihp.20150717124211
Sunita Singh, H. Yadav, Divya Srivastava, R. Sen
Ectopic breast tissue (EBT) can present anywhere along the milk line from axilla to groin. It can harbor all the pathological conditions as that of the normal breast though incidence is very low. Fibroadenoma is rare in accessory breast and only a few cases have been reported in the literature. Here, we report a 30-year-old female presented with a firm and freely mobile right axillary lump measuring 6 cm A— 4 cm. Fine-needle aspiration cytology revealed it as accessory breast tissue. However, the excision biopsy of the same showed fibroadenoma along with duct ectasia in EBT. This case has been reported due to its rarity and for consideration of fibroadenoma in differential diagnoses of axillary swellings.
异位乳腺组织(EBT)可以出现在从腋窝到腹股沟的乳线上的任何地方。虽然发病率很低,但它可以包含正常乳腺的所有病理情况。纤维腺瘤是罕见的副乳房,只有少数病例报道在文献中。在此,我们报告一位30岁女性,其右侧腋窝肿块坚固且可自由活动,大小为6cm a - 4cm。细针穿刺细胞学检查显示为副乳腺组织。然而,相同的切除活检显示纤维腺瘤伴导管扩张。由于其罕见性和考虑到纤维腺瘤在腋窝肿胀的鉴别诊断中被报道。
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引用次数: 3
Granular Cell Tumor of the Breast: An Unusual Tumor of the Breast Masquerading As Malignancy - 乳腺颗粒细胞瘤:一种伪装成恶性肿瘤的乳腺罕见肿瘤
Pub Date : 2015-01-01 DOI: 10.5455/jihp.20150211113147
P. Jaiprakash, K. Pai
Granular cell tumor (GCT) is a rare neoplasm of the breast, accounting for <0.1% of breast tumors. GCT may mimic a malignant tumor clinically and radiologically, thereby causing overtreatment in a few cases. We present a case of a 28-year-old woman who presented with a breast lump of short duration, which was highly suggestive of malignancy radiologically. Wide local excision of the lump showed histological features suggestive of GCT, which was confirmed by immunohistochemical studies.
颗粒细胞瘤(GCT)是一种罕见的乳腺肿瘤,占乳腺肿瘤的0.1%以下。GCT在临床和放射学上可能与恶性肿瘤相似,从而导致少数病例的过度治疗。我们提出一个28岁的妇女谁提出了一个乳房肿块的短时间,这是高度提示恶性肿瘤放射学。广泛局部切除肿块显示提示GCT的组织学特征,免疫组织化学研究证实了这一点。
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引用次数: 0
A Retrospective Study on Qualitative Assessment of Copper Content in Oral Leukoplakia, Submucous Fibrosis and Squamous Cell Carcinoma with Rhodamine Stain - 罗丹明染色定量评价口腔黏膜白斑、粘膜下纤维化及鳞状细胞癌中铜含量的回顾性研究
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20150717124034
P. Joshi, Bhagyalaxmi Hongal, Neha Agnihotri, Rutuja Shridhar Kempwade
Background: Trace elements are required in small concentrations as essential active components of biological enzyme systems. They are in the form of metalloenzymes and copper is one such component. Copper metabolism is profoundly altered in neoplastic disease. Copper plays an important role in tumor angiogenesis especially in early stages and is also necessary for endothelial cell activation. Copper content in tissues of oral leukoplakia (OL), oral submucous fibrosis (OSMF), and oral squamous cell carcinoma (OSCC) has not been studied extensively. Hence, we attempted this retrospective study to analyze copper content in the tissues by using rhodamine stain for better understanding of pathogenesis. Aim and Objectives: To evaluate and compare the copper content and its depth of penetration in tissue sections of diagnosed cases of oral precancer and cancer by using rhodamine staining method. Materials and Methods: This retrospective analytical study was conducted on histologically diagnosed 10 cases each of OL, OSMF, and OSCC. Ten cases of normal mucosa served as control. The selected cases were subjected to staining with rhodamine for qualitative analysis of copper content. Results: Paired t-test showed a significant increase in copper content in the study group (P = 0.516) as compared to control group. Krushall–Wallis non-parametric test showed higher mean value of copper content in cases of OSMF (2.00) than the cases of OL (1.20) and OSCC (1.70). Conclusion: Copper content by rhodamine staining technique was found to be higher in OSMF than OL and OSCC this staining technique can be used as a prognostic indicator for assessment of disease progression.
背景:微量元素作为生物酶系统的必需活性成分,需要以小浓度存在。它们以金属酶的形式存在,铜就是其中一种成分。铜的代谢在肿瘤疾病中发生了深刻的改变。铜在肿瘤血管生成中起着重要作用,特别是在早期阶段,也是内皮细胞激活所必需的。口腔黏膜白斑(OL)、口腔黏膜下纤维化(OSMF)和口腔鳞状细胞癌(OSCC)组织中铜的含量尚未得到广泛研究。因此,我们尝试用罗丹明染色法分析组织中铜的含量,以更好地了解其发病机制。目的与目的:应用罗丹明染色法评价和比较口腔癌前病变和癌组织切片中铜的含量及其渗透深度。材料与方法:回顾性分析组织学诊断的OL、OSMF和OSCC各10例。正常粘膜10例作为对照。所选病例用罗丹明染色进行铜含量定性分析。结果:配对t检验显示研究组铜含量较对照组显著升高(P = 0.516)。Krushall-Wallis非参数检验显示,OSMF患者铜含量平均值(2.00)高于OL(1.20)和OSCC(1.70)。结论:罗丹明染色技术发现OSMF中铜含量高于OL和OSCC,该染色技术可作为评估疾病进展的预后指标。
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引用次数: 3
Appendiceal Hyperplastic Polyp: Case Report - 阑尾增生性息肉1例报告
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20150203022914
F. Limaiem, S. Bouraoui, Maroua Bouahmed, G. Sahraoui, A. Lahmar, S. Mzabi-regaya
Serrated lesions morphologically analogous to those seen in the colorectum are found in the appendix. Appendiceal hyperplastic polyps are very rare, and their true incidence is unknown. A 52-year-old male previously healthy patient with no particular past medical history, presented with a 24-h history of abdominal pain localized to the right lower quadrant. On physical examination, he was tender to palpation in the lower right quadrant. As acute appendicitis was highly suspected, laparoscopic appendectomy was performed. Histological examination of the surgical specimen showed acute inflammation of the appendiceal wall. The crypts were focally elongated but relatively straight with serrations that were visible mainly near the luminal end of the crypts. Columnar cells with or without apical mucous vacuoles alternated with large goblet cells. The crypt bases were not serrated and were lined by regular cells with small nuclei. The muscularis mucosa was intact. The postoperative course was uneventful, and the patient was discharged on postoperative day 1. The final pathological diagnosis was acute appendicitis associated with hyperplastic polyp. Hyperplastic lesions of the appendix are often incidental findings although they can be associated with acute appendicitis. They are significantly associated with adenocarcinoma elsewhere in the large intestine and the finding of mucosal hyperplasia in an appendectomy is an indication for further investigations to exclude colorectal neoplasia.
在阑尾发现的锯齿状病变在形态上与结直肠类似。阑尾增生性息肉非常罕见,其真实发病率尚不清楚。52岁男性,既往健康,无特殊病史,24小时腹痛,右下腹。体格检查时,右下腹触痛。高度怀疑急性阑尾炎,行腹腔镜阑尾切除术。手术标本的组织学检查显示阑尾壁急性炎症。隐窝局部拉长,但相对直,锯齿主要在隐窝管腔末端可见。柱状细胞有或没有顶端粘液液泡,与大杯状细胞交替。隐窝基部不呈锯齿状,排列有小核的规则细胞。肌层粘膜完整。术后过程顺利,患者于术后第1天出院。最终病理诊断为急性阑尾炎合并增生性息肉。阑尾增生性病变通常是偶然发现的,尽管它们可能与急性阑尾炎有关。它们与大肠其他部位的腺癌显著相关,阑尾切除术中发现的粘膜增生是进一步检查排除结直肠肿瘤的指征。
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引用次数: 2
Synchronous Superficial Myofibroblastoma and Stromal polyp of the Vagina: Report of A Case Supporting Common Histogenesis of Both Lesions 阴道同步浅表性肌纤维母细胞瘤和间质息肉:一例支持两种病变共同组织发生的报告
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20150220120049
M. Zamecnik, Roman Sucansky
Rare simultaneous occurrence of vaginal superficial cervicovaginal myofibroblastoma and vaginal stromal polyp is described. The lesions were found in a 90-years-old patient, in the anterior wall of the vagina. The diameter of the lesions was 6cm and 2cm, respectively. Between them, a 3cm part of normal appearing vaginal wall was present. Both lesions showed similar myoid appearing morphology and myofibroblastic desmin+/actin-/h-caldesmon-/CD34- immunophenotype, with positivity for CD10, CD99, estrogen receptor and progesterone receptor. Larger lesion was diagnosed as benign cervicovaginal myofibroblastoma, and the smaller one had typical features of vaginal stromal polyp. This case of simultaneous occurrence of cervicovaginal myofibroblastoma and vaginal stromal polyp supports previously suggested histogenetic relationship between these lesions.
罕见的同时发生阴道浅颈阴道肌纤维母细胞瘤和阴道间质息肉。病变是在一个90岁的病人身上发现的,在阴道前壁。病变直径分别为6cm和2cm。在它们之间,存在正常阴道壁的3cm部分。两种病变均表现出相似的肌样形态和肌成纤维细胞desmin+/actin-/h-caldesmon-/CD34-免疫表型,CD10、CD99、雌激素受体和孕激素受体阳性。较大的病变诊断为良性宫颈阴道肌成纤维细胞瘤,较小的病变具有阴道间质息肉的典型特征。本病例同时发生的宫颈阴道肌成纤维细胞瘤和阴道间质息肉支持先前提出的组织发生关系的病变。
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引用次数: 0
A Preventable Complication of a Slow Growing Cancer: Lessons Learned and a Literature Review - 一种可预防的慢性癌症并发症:经验教训和文献综述
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20150424041646
A. Tan, P. Gill, Haitham Kashaba, S. Hales, F. Fahmy
Malignant tumors of the hand are rare. Chondrosarcoma presenting in the hand are usually low grade with low risk of metastasis. To our knowledge and following literature review, there are nine reported cases of metastatic chondrosarcoma of the hand worldwide in the English literature, with only two reported cases of axillary lymphadenopathy. We describe a case of an unusual presentation of chondrosarcoma of the left little finger with distant axillary and pulmonary metastases. We also review management issues unique to this patient and reflective learning points to improve care. Our patient could have had a satisfactory outcome if treated early. We recommend referral of suspicious hand lesions to a specialist hand surgeon, for early assessment and management, in order to reduce patient morbidity and mortality.
手部的恶性肿瘤很少见。出现在手部的软骨肉瘤通常是低级别的,转移风险低。据我们所知,根据文献综述,在英语文献中,有9例手部转移性软骨肉瘤的报道,只有2例腋窝淋巴结病的报道。我们描述了一个不寻常的表现软骨肉瘤的左小指与远处腋窝和肺转移的情况。我们还审查了该患者独特的管理问题和反思学习点,以改善护理。如果及早治疗,我们的病人可能会有满意的结果。我们建议将可疑的手部病变转诊给专业手外科医生,进行早期评估和处理,以减少患者的发病率和死亡率。
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引用次数: 0
Characterization of HER2 Gene/Protein and Ki67 Protein Expressions in Colorectal Carcinoma Variants With Relation To Clinicopathological Parameters and Prognosis: An Immunohistochemical and Fluorescence In Situ Hybridization Study HER2基因/蛋白和Ki67蛋白在结直肠癌变异中的表达与临床病理参数和预后的关系:免疫组织化学和荧光原位杂交研究
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20151002124135
A. Foda, E. Abdelzaher, I. Talaat
Objective The data on the frequency and pattern of HER2 expression in colorectal carcinoma (CRC) and its clinical signifi¬cance are ambiguous. In addition, little is known about HER2 status in CRC variants and its relation with proliferative activity and clinical outcome. Such knowledge may be of potential value for therapeutic decision making in CRCs. Methods The HER2 gene/protein status was assessed by fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC) in a tissue microarray of 150 CRCs and correlated with the expression of the proliferation marker Ki67, clinicopathological factors, and prognosis. Results CRCs were categorized into conventional adenocarcinoma (CA), 47 cases; adenocarcinoma with mucinous component (AMC), 28 cases; mucinous adenocarcinoma (MA), 56 cases; and signet ring cell carcinoma (SRCC), 19 cases. Compared to other variants, CA was significantly associated with favorable clinicopathological features, higher overall survival (OS) and disease-free survival (DFS), while SRCC and MA were significantly associated with ominous clinicopathological features, lower OS and DFS. Cytoplasmic HER2 overexpression was detected in 14.2% of CRC cases and showed a significant agreement with gene amplification. HER2 overexpression was significantly associated with favorable clinicopathological features notably early stages. High Ki67 expression was detected in 48% of CRC cases. HER2 and Ki67 were significantly different among CRC variants with AMC showing the greatest frequency of HER2 overexpression and Ki67 high expression than the other variants. The interrelation between HER2 and Ki67 expression was statistically insignificant and neither had any significant relation to OS or DFS in any of the CRC variants. Conclusions We conclude that mucinous histology infers an adverse prognosis in CRC. A subset of early stage CRC patients, with HER2 overexpression and possibly a distinct variant, may benefit from HER2 targeted therapy. IHC can be used as a method for screening of HER2 gene amplification in CRCs.
目的HER2在结直肠癌(CRC)中的表达频率、表达模式及其临床意义尚不明确。此外,对于HER2在CRC变异体中的状态及其与增殖活性和临床结果的关系知之甚少。这些知识可能对crc的治疗决策具有潜在价值。方法采用荧光原位杂交(FISH)和免疫组化(IHC)技术检测150例肝癌细胞的HER2基因/蛋白水平,并与增殖标志物Ki67的表达、临床病理因素和预后进行相关性分析。结果crc分为常规腺癌(CA) 47例;腺癌伴粘液成分(AMC) 28例;粘液腺癌(MA) 56例;印戒细胞癌(SRCC) 19例。与其他变异相比,CA与良好的临床病理特征、较高的总生存期(OS)和无病生存期(DFS)显著相关,而SRCC和MA与不良的临床病理特征、较低的OS和DFS显著相关。在14.2%的结直肠癌病例中检测到细胞质HER2过表达,并与基因扩增显著一致。HER2过表达与有利的临床病理特征显著相关,尤其是早期阶段。在48%的结直肠癌病例中检测到Ki67高表达。HER2和Ki67在CRC变异体中存在显著差异,AMC中HER2过表达频率最高,Ki67高表达频率高于其他变异体。HER2和Ki67表达之间的相互关系在统计学上不显著,也与任何CRC变体的OS或DFS没有任何显著关系。结论黏液组织学推断结直肠癌预后不良。HER2过表达且可能有明显变异的早期结直肠癌患者亚群可能受益于HER2靶向治疗。免疫组化可作为一种筛选crc中HER2基因扩增的方法。
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引用次数: 2
Collagenous Gastritis: A Rare Entity - 胶原性胃炎:一种罕见的疾病
Pub Date : 2015-01-01 DOI: 10.5455/jihp.20150318115932
F. Limaiem, S. Mzabi
Collagenous gastritis is a rare entity of unknown etiology characterized histologically by the presence of a thick subepithelial collagen band associated with an inflammatory infiltrate of gastric mucosa. A 40-year-old male presented with a history of chronic intermittent abdominal pain for about 6 months. Physical examination was unremarkable, and biological tests were within normal range. The patient underwent esophagogastroduodenoscopy and colonoscopy which showed a nodular mucosa of the stomach. Biopsies of the duodenum and colon were unremarkable. However, biopsies of the gastric fundus revealed a mild chronic gastritis characterized by lymphocytic and plasma cell infiltration of deep mucosa, without lymphoid follicle formation or active inflammation. No microorganisms were identified on routine hematoxylin and eosin or Giemsa-stained sections. Subepithelial collagen in the gastric biopsies was thickened and showed entrapped capillaries. Subepithelial collagen was highlighted by Masson’s trichrome staining and was negative for amyloid by Congo Red. In the areas containing thickened collagen, there were no intraepithelial lymphocytes. The final pathological diagnosis was collagenous gastritis. Collagenous gastritis is an extremely rare disease, but it is important to recognize its characteristic endoscopic and pathologic findings to make a correct diagnosis. Specific therapy for this rare entity has not yet been established.
胶原性胃炎是一种病因不明的罕见疾病,其组织学特征是存在厚的上皮下胶原带,并伴有胃粘膜的炎症浸润。男性,40岁,慢性间歇性腹痛病史约6个月。体格检查无异常,生物学检查正常。患者行食管胃十二指肠镜及结肠镜检查,发现胃粘膜结节。十二指肠及结肠活检无明显异常。然而,胃底活检显示轻度慢性胃炎,其特征为深部粘膜淋巴细胞和浆细胞浸润,无淋巴滤泡形成或活动性炎症。常规苏木精、伊红或吉姆萨染色切片未检出微生物。胃活检上皮下胶原增厚,毛细血管被包裹。马松三色染色显示上皮下胶原蛋白突出,刚果红呈淀粉样蛋白阴性。胶原增厚区上皮内未见淋巴细胞。最终病理诊断为胶原性胃炎。胶原性胃炎是一种极为罕见的疾病,认识其内镜和病理表现对正确诊断至关重要。针对这种罕见疾病的特异性治疗方法尚未确定。
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引用次数: 1
Effects of Menopause and Diabetes on the Rat Thyroid Gland: A Histopathological and Stereological Examining - 绝经和糖尿病对大鼠甲状腺的影响:组织病理学和体视学检查
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20150324080114
Zeliha Yetim, D. Unal, S. A. Karamese, T. Mercantepe, J. Selli, E. Polat, B. Buyuk
Objective: Menopause is described as the arrest of the menstruation cycle and ending of reproductive potential. Diabetes mellitus (DM) occurs with Type 1 diabetes that is originated from the absence of insulin and Type 2 diabetes depending on insulin resistance. It is one of the most common endocrine disorders encountered in clinical practice that can cause serious health complications. Therefore, the objective of the present thesis was to investigate the effects of menopause and diabetes upon the thyroid using a rat model. Materials and Methods: 24, 12 weeks old female Sprague-Dawley rats were divided randomly into; non-diabetic healthy control group (Group I, n = 6), diabetic group (Group II, n = 6), ovariectomy group (Group III, n = 6), and ovariectomy plus diabetic group (Group IV, n = 6), respectively. Results: In histopathological examinations, the thyroid gland of the diabetic group had large follicles with cuboidal or almost squamous epithelial lining surrounding wide lumen. There were areas of disorganized follicles with decreased colloid. In the ovariectomized (OVX) rats, there was hyperplasia of the thyroid follicles and disorganized follicles with complete obstruction of their lumina. Mitotic cells were available. Some parafollicular cells had lack of cytoplasm. Post ovariectomy diabetes-induced group (Group IV), there were some species between follicles and remarkable reduction of colloid. Hyperplasia of the thyroid follicles, solid cell nests, and mitotic cells were also seen increasingly in this group. Follicular lumen area of ovariectomy group is closer to the control group. The increase of the lumen area in the DM group was the largest, diabetes+ovariectomy group also had an increase in the follicular lumen area. Conclusion: Finally; postmenopausal aging and diabetes in rats, may cause thyroid degeneration. DM and menopause both cause oxidative stress. But their damages on thyroid tissue are different. It means they cause oxidative stress via different ways. DM + OVX group compared to other groups has the greatest damage.
目的:更年期被描述为月经周期的停止和生殖潜能的结束。糖尿病(DM)发生于胰岛素缺乏引起的1型糖尿病和依赖于胰岛素抵抗的2型糖尿病。它是临床上最常见的内分泌失调之一,可引起严重的健康并发症。因此,本论文的目的是利用大鼠模型研究更年期和糖尿病对甲状腺的影响。材料与方法:24、12周龄雌性sd - dawley大鼠随机分为;非糖尿病健康对照组(I组,n = 6)、糖尿病组(II组,n = 6)、卵巢切除组(III组,n = 6)、卵巢切除加糖尿病组(IV组,n = 6)。结果:糖尿病组甲状腺组织病理检查可见大滤泡,宽腔周围有立方状或近鳞状上皮。有组织紊乱的卵泡区,胶体减少。去卵巢大鼠甲状腺滤泡增生,滤泡紊乱,滤泡腔完全阻塞。有丝分裂细胞可用。部分滤泡旁细胞胞质缺失。卵巢切除术后糖尿病诱导组(IV组),卵泡间有一些菌种,胶体明显减少。甲状腺滤泡、实细胞巢和有丝分裂细胞的增生在本组也越来越多。卵巢切除术组卵泡腔面积更接近于对照组。DM组的管腔面积增加最大,糖尿病+卵巢切除术组的卵泡管腔面积也增加。结论:最后;绝经后衰老和糖尿病大鼠,均可引起甲状腺变性。糖尿病和更年期都会引起氧化应激。但它们对甲状腺组织的损害是不同的。这意味着它们通过不同的方式引起氧化应激。DM + OVX组较其他组损伤最大。
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引用次数: 0
Using Flow Cytometry for the Diagnosis of Lung Neuroendocrine Carcinoma With Samples From Endobronchial Ultrasound Fine Needle Aspiration and Pleural Fluid 流式细胞术在支气管超声细针穿刺及胸腔积液肺神经内分泌癌诊断中的应用
Pub Date : 2015-01-01 DOI: 10.5455/JIHP.20141201025029
Mark E. Costaldi, A. Lall, R. Burack, Zhongren Zhou
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引用次数: 0
期刊
Journal of interdisciplinary histopathology
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